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Statin plus niacin ER/laropiprant

University of Ioannina · FDA-approved active Small molecule

A combination therapy that lowers LDL cholesterol via statin action while niacin ER/laropiprant raises HDL cholesterol and reduces triglycerides, with laropiprant blocking prostaglandin D2 receptors to reduce niacin-induced flushing.

A combination therapy that lowers LDL cholesterol via statin action while niacin ER/laropiprant raises HDL cholesterol and reduces triglycerides, with laropiprant blocking prostaglandin D2 receptors to reduce niacin-induced flushing. Used for Dyslipidemia and cardiovascular risk reduction in patients requiring statin and niacin therapy.

At a glance

Generic nameStatin plus niacin ER/laropiprant
SponsorUniversity of Ioannina
Drug classStatin combined with niacin ER and DP1 antagonist
TargetHMG-CoA reductase (statin component); GPR109A/PUMA-G (niacin component); DP1 receptor (laropiprant component)
ModalitySmall molecule
Therapeutic areaCardiovascular
PhaseFDA-approved

Mechanism of action

Statins inhibit HMG-CoA reductase to reduce hepatic cholesterol synthesis and LDL levels. Niacin (nicotinic acid) increases HDL and decreases triglycerides through multiple mechanisms including inhibition of hepatic VLDL production. Laropiprant is a selective antagonist of the prostaglandin D2 receptor (DP1), which mitigates the vasodilatory flushing side effect commonly associated with niacin therapy.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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